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VATI MATERNAL NEWBORN 2023-2024 FORM A, B AND C LATEST VERSIONS EACH FORM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!

VATI MATERNAL NEWBORN 2023-2024 FORM  A, B AND C LATEST VERSIONS EACH FORM  CONTAINS 70 QUESTIONS AND CORRECT  DETAILED ANSWERS WITH RATIONALES  (VERIFIED ANSWERS) |ALREADY GRADED  A+||BRAND NEW!!

VATI MATERNAL NEWBORN 2023-2024 FORM
A, B AND C LATEST VERSIONS EACH FORM
CONTAINS 70 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A nurse provided discharge teaching to new parents on how to care for their newborn
following circumcision. Which of the following statements by the parents indicates the
need for further clarification?
Select one:
a.
"The circumcision will heal completely within a couple of weeks."
b.
"I should not remove the yellow exudate on the end of the penis."
c.
"I can give him a tub bath in two days."
d.
"I will clean his penis with each diaper change." - ANSWER-c.
"I can give him a tub bath in two days."
how long should it take a circumcision to heal - ANSWER-two weeks
A nurse is discussing the use of condoms with a female client. Which of the following
statements by client represents a need for further teaching?
Select one:
a.
"My partner should leave an empty space at the tip."
b.
"I can use spermicidal gels or creams to increase effectiveness."
c.
"I will remove the condom 30 minutes after intercourse."
d.
"My partner will put the condom on while his penis is erect." - ANSWER-c.
"I will remove the condom 30 minutes after intercourse."
A client reports awaking from sleep by contractions that are occurring every five minutes
and lasting 30-40 seconds. Which of the following questions should the nurse ask to
assess for true labor versus false labor?
Select one:
a.
"What happens to your contractions when you move about?"
b.
"Have you noticed any bloody show or fluid coming from your vagina?"
c.
"When did your contractions begin?"
d.
"Have you felt fetal movement over the last 24 hours?" - ANSWER-b.
"Have you noticed any bloody show or fluid coming from your vagina?"
A charge nurse is teaching a newly licensed nurse about substance use disorders
during pregnancy. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? - ANSWER-Encourage client who are
prescribed methadone to breastfeed.
-The nurse should encourage clients who are prescribed methadone during pregnancy
to breastfeed their newborns to help with withdrawal symptoms.
A nurse is caring for a client who received terbutaline subcutaneously. Which of the
following findings is an indication the medication was effective? - ANSWER-Decreased
frequency of contractions.
-Terbutaline is a tocolytic medication that is used to halt preterm labor. Terbutaline
cause relaxation of smooth muscle, which decrease uterine activity. Therefore, the
nurse should identify that a decrease in frequency of contractions is an indication that
terbutaline was effective.
A charge nurse is discussing care of clients who are in labor with a newly licensed
nurse. Which of the following actions should the charge nurse include in the teaching
regarding situations requiring an amniotomy? - ANSWER-Placing a fetal scalp
electrode.
-A fetal scalp electrode is attached to the presenting part of the fetus in order to provide
accurate continuous monitoring of the fetal heart rate. If the client's membranes are
intact, the amniotic sac must be artificially ruptured prior to attaching the electrode to
enable access to the presenting part.
A nurse is reviewing the medical record of a client who has preeclampsia prior to
administering labetalol. For which of the following findings should the nurse withhold the
medication? - ANSWER-Heart rate 54/min
-The nurse should identify that a heart rate of 54/min is below the expected reference
range of 60 to 100/min. During pregnancy, the heart rate increases 10 to 15/min due to
increased blood volume and increase tissue demands for oxygen. Bradycardia is a
contraindication for the administration of labetalol, an antihypertensive medication.
Therefore, the nurse should withhold the medication and notify the provider.
A nurse is caring for a client who is at 30 weeks of gestation and observes the client
choking while eating lunch. The client is unable to speak or cough. Identify the
sequence of steps the nurse should take to clear the airway obstruction. - ANSWER-1.
Stand posterior to the client.
2. Position arms under the client's axilla and across the client's chest.
3. Place thumb-side of a clenched fist to the client's mid-sternum area.
4. Initiate chest thrust to the client using a backward motion.
-If the client becomes unconscious, the nurse should perform CPR and activate
emergency medical services.
A nurse is preparing to administer an opioid analgesic to a client who is in active labor.
Which of the following assessments should the nurse perform? (SATA) - ANSWERMaternal blood pressure.
-Opioid analgesic can cause hypotension. The nurse should assess the clients blood
pressure before and after administering opioids.
Pain level.
-The nurse should assess the clients baseline pain level prior to administering pain
medication and again after administering pain medication to determine the effectiveness
of the medication. Opioid analgesic are indicated for the relief of moderate to sever
labor pain.
Fetal heart rate.
-Opioid analgesics can cause fetal bradycardia and changes in variability. The nurse
should assess the fetal heart rate prior to administering an opioid analgesic to ensure
the rate is within the expedited reference range and to have a baseline for future
assessments. The nurse should provide ongoing assessments of fetal heart rate
throughout labor according to facility protocol.
A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which
of the following findings should the nurse identify as a risk factor for developing
preeclampsia? - ANSWER-Rheumatoid Arthritis.
-The presence of a connective tissue disease, such as rheumatoid arthritis or systemic
lupus erythematosus, increase a clients risk for developing preeclampsia.
A nurse is reviewing the laboratory results for a postpartum client who is receiving
warfarin for deep-vein thrombosis. Which of the following laboratory tests should the
nurse monitor? - ANSWER-International normalized ratio (INR).
-The nurse should monitor the INR of a client who is taking warfarin. Prothrombin
time(PT) is also measure to regulate warfarin therapy. However, PT values are more
difficult to interpret. INR determined by multiplying the PT by a correction factor based
on the specific thromboplastin preparation used for the test, as a way of equalizing
laboratory to laboratory variations.
A nurse is monitoring a client who is in the active phase of labor and has an intrauterine
pressure catheter and fetal scalp electrode. Which of the following findings should the
nurse expect? - ANSWER-Montevideo units (MVU) of 220 mm Hg.
- The nurse should identify that an MVU of 220 mm Hg is within the expected range
during the active phase of labor. MVUs generally range between 100 to 250 mm Hg
during the first stage of labor and increase to 300 to 400 mm Hg during the second
stage of labor. MVUs are calculated by subtracting the baseline uterine pressure from
the peak contraction pressure for every contraction that occurs during a 10-min period.
The nurse then adds the pressure produced by each contraction during that time to
determine the MVUs.
A nurse is assessing a client who has just undergone a cesarean birth and was given
epidural morphine for postpartum pain relief 1hr ago. The nurse notes that the clients
respiratory rate is 10/min. Which of the following actions should the nurse take first? -
ANSWER-Administer oxygen by nonrebreather face mask.
-The first action the nurse should take when using the airway, breathing, circulation
approach to client care is to administer oxygen by nonrebreather mask to treat
manifestations of respiratory depression due to morphine administration.
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring.
Which of the following clinical findings should the nurse expect? - ANSWER-Painless
vaginal bleeding.
-The placenta implants in the lower uterine segment, partially or completely covering the
cervix. With cervical changes, the placental blood vessels can tear, which results in
bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of the following
findings should the nurse report to the provider? - ANSWER-Episodes of blurred vision.
-Blurred vision is a manifestation of preeclampsia. Arterial vasospasms and decreased
perfusion to the retina cause visual disturbances, such as blurred vision, double vision,
or dark spots in the visual field.
A nurse is assessing a client who is at 8wks of gestation and has hyperemesis
gravidarum. Which of the following are findings of this condition? (SATA) - ANSWER-1.
Tachycardia.
-Hyperemesis gravidarum typically occurs during the first trimester and results in
electrolyte imbalance, excessive weight loss, ketonuria, and nutritional deficiencies.
2. Dry mucous membranes.
3. Poor skin turgor.
A nurse is reviewing the laboratory results for a client who is at 29wks of gestation.
Which of the following results should the nurse identify as an indication of a prenatal
complication? - ANSWER-BUN 30 mg/dL
-Above the expected reference range of 10-20 mg/dL for a client who is pregnant. The
BUN typically decreases during pregnancy due to the increase in the glomerular
filtration rate. The nurse should identify that an elevated BUN is a manifestation of
preeclampsia or HELLP syndrome, potentially serous complications of pregnancy's.
A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in
15min. The clients skin is cool and clammy to touch. Which of the following actions
should the nurse take first? - ANSWER-Firmly massage the fundus.
-The greatest risk for a postpartum client who is experiencing excessive vaginal
bleeding is the development of hypovolemic shock, which can lead to coma and death.
Uterine atony is a frequent cause of excessive vaginal bleeding. Therefore, the first
action the nurse should take is to massage the clients fundus to encourage muscular
contractions, which will decrease bleeding.
A nurse is caring for a client who is at 28wks of gestation and has received two doses of
terbutaline subcutaneously. Which of the following adverse effects is the priority for the
nurse to report to the provider? - ANSWER-Heart rate: 132/min
-The nurse should notify the provider of tachycardia greater than 130/min; therefore, this
is the priority finding. The client might also report chest discomfort, palpitations and
have arrhythmias.
A nurse is providing teaching for a client who is 2wks postpartum and has mastitis.
Which of the following instructions should the nurse include in the teaching? -
ANSWER-Apply moist heat to the affected breast.
-The application of warm compresses prior to feeding or pumping promotes the flow of
the breast milk and assists to ensure complete emptying of the breast. This is important
to prevent the development of further complications such as the formation of a breast
abscess or chronic mastitis.

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